title: Infracoccygeal sacropexy for uterovaginal prolapse.
abstract: OBJECTIVE
  To report on the efficacy and safety of infracoccygeal sacropexy for the treatment of uterovaginal prolapse.
  
  
  METHODS
  A retrospective analysis of 87 women who underwent an infracoccygeal sacropexy procedure, 53 receiving a multifilament and 34 receiving a monofilament tape.
  
  
  RESULTS
  The mean follow-up was 27 months. Postoperative perineal pain was reported by 7 women (10%), and dyschesia and dyspareunia were observed de novo in 4 (5%) and 5 women (6%), respectively. There were 5 cases (9%) of vaginal extrusion and 9 cases (18%) of prolapse recurrence in the multifilament tape group, and in the monofilament tape group there were no cases of vaginal extrusion and 4 cases (14%) of prolapse recurrence (P=0.79 for prolapse recurrence). The recurrence-free survival curves of the 2 groups were similar. Univariate analysis revealed no independent factors of recurrence.
  
  
  CONCLUSIONS
  Although infracoccygeal sacropexy was found to be associated with few prolapse recurrences, complications were not rare.
authors.affiliation: Université Paris-Sud, Unité mixte de recherche (UMR) S0782, Clamart, France. xavier.deffieux@abc.aphp.fr
authors.forename: Xavier
authors.initials: X
authors.lastname: Deffieux
authors.forename: Krystel
authors.initials: K
authors.lastname: Desseaux
authors.forename: Renaud
authors.initials: R
authors.lastname: de Tayrac
authors.forename: Erika
authors.initials: E
authors.lastname: Faivre
authors.forename: René
authors.initials: R
authors.lastname: Frydman
authors.forename: Hervé
authors.initials: H
authors.lastname: Fernandez
mesh_terms: D000368:Aged; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014596:Uterine Prolapse / Q000601:surgery*